| NPI | 1548045602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN ORVIS CEO 517-375-1927 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation |
| Additional Taxonomies | 111N00000X Chiropractor |
| 111NN0400X Chiropractor, Neurology | |
| Enumeration Date | 2023-08-28 |
| Last Update Date | 2023-08-28 |